Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Michigan (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Munson Healthcare Manistee Hospital (NPI 1407949191)

Field	Value
Entity Type	Organization
Organization	Munson Healthcare Manistee Hospital
Address	1465 E Parkdale Ave
City	Manistee
State	MI
ZIP	49660
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 2, 2006

Payer Source	Total Paid
Medicaid	$9.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

225 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1,530	$1,350	$2.1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	9,240	$180	$1.6M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	8,450	$120	$1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	2,970	$310	$916.2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	5,140	$100	$488K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	4,880	$70	$336.7K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,490	$160	$245K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	4,430	$50	$226K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	8,200	$20	$164.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	4,100	$40	$159.7K

Showing 1–10 of 225

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.

Claims Volume vs. Michigan Distribution

Munson Healthcare Manistee Hospital — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

225 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	111	150	5,330	$50	$2.8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	171	400	1,510	$190	$2.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	148	480	1,350	$110	$1.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	161	450	1,540	$90	$1.3M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	149	160	1,880	$230	$1.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	90	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	89	100	2,820	$180	$1.1M
T1015	Clinic visit/encounter, all-inclusive	255	290	5,950	$50	$689.7K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	5	30	300	$920	$652.6K
A0425	Ground mileage, per statute mile	169	200	2,950	$50	$648.5K

Showing 1–10 of 225

Related Providers

Other providers that share a Tax Identification Number (TIN) with Munson Healthcare Manistee Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dino Recchia	MI	Cardiovascular Disease Physician	$132.8K	$0
Joseph Ward	MI	Orthopaedic Surgery Physician	$91.8K	$0
Diane Young	MI	Urology Physician	$81.2K	$0
Michael Peters	MI	Orthopaedic Surgery Physician	$76.8K	$0
Andrew Luea	MI	Urology Physician	$70.6K	$0
Roman Barraza	MI	Internal Medicine Physician	$52.7K	$0
Frederick Kaspriak	MI	Physician Assistant	$47.1K	$0
Lynne Mccormick	MI	Urology Physician	$33.1K	$0
William Bell	MI	Surgery Physician	$28.5K	$0
Abdul Malik	MI	Neurology Physician	$28.3K	$0

Nearby Providers

Other providers in the same ZIP code as Munson Healthcare Manistee Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Manistee Benzie Community Mental Health	MI	Community/Behavioral Health Agency	$0	$57M
Ryan Sullivan	MI	Internal Medicine Physician	$180.4K	$0
Meijer, Inc.	MI	Community/Retail Pharmacy	$134.6K	$0
Brenda Mccann	MI	Audiologist	$10.2K	$0

Munson Healthcare Manistee Hospital — Billing Profile & Reimbursement Data

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Munson Healthcare Manistee Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References